| (a) HHSC may review an IPC to determine if the type
and amount of HCS Program services and CFC services specified in the
IPC meet the requirements described in §263.301(c) of this subchapter
(relating to IPC Requirements).
(1) If an IPC submitted to HHSC exceeds 100 percent
of the estimated annualized average per capita cost for ICF/IID Program
services, a LIDDA or program provider must immediately submit documentation
supporting the IPC to HHSC, including a copy of the signed and dated
IPC, the PDP, the implementation plans for the services on the IPC,
and assessments. A LIDDA or program provider must submit additional
documentation as requested by HHSC.
(2) If requested by HHSC for an IPC other than one
described in paragraph (1) of this subsection:
(A) a LIDDA must submit documentation supporting an
initial IPC to HHSC; and
(B) a LIDDA or program provider must submit documentation
supporting a renewal or revised IPC to HHSC.
(b) HHSC considers a service coordinator's agreement
or disagreement that a renewal or revised IPC meets the requirements
described in §263.301(c) of this subchapter, as required by §263.302(e)(3)
of this subchapter (relating to Renewal and Revision of an IPC), in
its review of an IPC.
(c) Based on a review of an IPC, HHSC may deny or reduce
an HCS Program service or a CFC service in accordance with §263.704
of this chapter (relating to Denial of HCS Program Services or CFC
Services) and §263.706 of this chapter (relating to Reduction
of HCS Program Services or CFC Services).
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